Provider Demographics
NPI:1013339498
Name:MCCONNELL, CAYCE (APN)
Entity Type:Individual
Prefix:
First Name:CAYCE
Middle Name:
Last Name:MCCONNELL
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:CAYCE
Other - Middle Name:
Other - Last Name:CLAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:901 W KIRCHHOFF RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-2361
Mailing Address - Country:US
Mailing Address - Phone:847-618-2700
Mailing Address - Fax:847-618-2709
Practice Address - Street 1:901 W KIRCHHOFF RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2361
Practice Address - Country:US
Practice Address - Phone:847-618-4180
Practice Address - Fax:847-618-2709
Is Sole Proprietor?:No
Enumeration Date:2014-01-20
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209019326363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209019326OtherIL APN LICENSE NUMBER